Although antidepressants are advised only as second-line treatment in patients with bipolar disorder, the matter is complicated by conflicting data surrounding antidepressant use during pregnancy. Read More
The diagnosis of bipolar disorder is typically associated with significant disability and impaired functioning. This article explores the pros and cons of functional and quality-of-life measures. Read More
The aim of this paper was to delineate the impact of gender on premorbid history, onset, and 18 month outcomes of first episode psychotic mania (FEPM) patients.|The aim of this paper was to delineate the impact of gender on premorbid history, onset, and 18 month outcomes of first episode psychotic mania (FEPM) patients.
Main Outcome Measure ? Hospital admissions for nonaffective or affective psychoses in adulthood. ... affective psychoses ( adjusted hazard ratio for schizophrenia for an increase of 1 SD in verbal ability, 0.59; 95 CI, 0.40-0.88;.
monitor patients for affective, anxiety, psychotic, and cognitive ( for example, dementia) disorders or chemical abuse and dependency. ... Fifty-seven percent of supervisors reported that they used SPAs routinely for patient screening for at least one
Purpose of review: This article reviews the recent literature about migration, ethnic minority position and the risk of psychotic disorders. Recent findings: A meta-analysis found that both first and second-generation migrants have on average
Psychiatric Services VOL 64 No 3. PSS. Articles | March 01, 2013 . A Model of Internalized Stigma and Its Effects on People With Mental Illness. Amy L. Drapalski, Ph.D.; Alicia Lucksted, Ph.D.; Paul B. Perrin, Ph.D.; Jennifer M. Aakre, Ph.D
Many authors stress the important correlation between disorders and social disability.|The aim of the project was the assessment of the occupational and relational social functioning of persons who suffer from different mental disorders.|During the 15 months of the project, enrollment was conducted among patients calling in to three outpatient psychiatric clinics in the Lower Silesia region in Poland. The study included persons (n = 185) at the age of 18-54 from five diagnostic groups, according to ICD-10: psychoticdisorders (F2), affectivedisorders (F3), anxiety disorders (F4), eating disorders (F5) and personality disorders (F6). Functioning was evaluated using the Groningen Social Disabilities Schedule (GSDS II), the Social and Occupational Functioning Assessment Scale (SOFAS) and the Global Assessment of Relational Functioning (GARF).|The group which had the highest level of functioning with a disability consisted of persons with the F2 diagnosis (1.42, SD = 0.63), whereas
A large number of subjective experiences and beliefs with some degree of affinity with psychotic symptoms can be found in the general population. However, the appraisal of these psychotic-like experiences in terms of associated distress, raised preoccupation, and the conviction with which the experience is held can be more discriminative in distinguishing people in need for care from those who simply hold unusual or uncommon beliefs because of cultural reasons.|In this study, 81 patients with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnosis of schizophrenia or an affective disorder with psychotic features were compared on the Peters et al Delusions Inventory (PDI) to 210 people from the same local area, who had never received a formal diagnosis of a mental disorder.|Patients scored higher than controls on the PDI total score and on its distress, preoccupation, and conviction subscales. A stepwise logistic regression model showed PDI-preoccupation
Although there have been many studies of work demands and self-reported job strain, few have examined incident physician-diagnosed mental ill-health (MIH) by detailed occupational group.|To investigate whether linkage of occupation from worker compensation claims to diagnoses from administrative health records can give credible information on occupation and incidence of MIH by diagnostic group and gender.|Information on occupation from all worker compensation claims 1995-2004 in Alberta, Canada were linked to administrative health records of MIH diagnoses. Relative risks for affective, substance use and psychoticdisorders by four digit occupational codes were calculated for men and women aged 18-65 years in a log-binomial regression adjusting for age and stratifying by sex.|There were 327883 male and 88483 female compensation claims available for the analysis of incident cases. Affectivedisorders (5.2% men, 11.5% women) were much more common than substance use disorders or psychotic
Schizotypy is phenotypically associated with neuroticism. To reveal the origin of this association, we assessed 3,349 (1,449 monozygotic, 1,105 dizygotic [DZ] same-sex and 795 DZ opposite-sex) twins on a 12-item version of Chapman's Psychosis-Proneness Scales and the short form of the Eysenck Personality Questionnaire-Revised as measures of schizotypy and neuroticism. A substantial proportion (0.51 with 95 % CI from 0.38 to 0.64) of the phenotypic correlation of 0.37 between neuroticism and the perceptual and ideational components of schizotypy was accounted for by shared genetic influences on these two traits. Moreover, a Cholesky decomposition including anhedonia, hypomania and impulsivity fully accounted for the heritable variance in perceptual and ideational components of schizotypy. These findings suggest a shared genetic etiology between neuroticism and perceptual and ideational components of schizotypy and affect future investigations on the etiology of these phenotypically
A longitudinal focus on gene-environment vulnerability and resilience in both patients, their unaffected family members and non-related controls offers the opportunity to elucidate etiological and pathogenetic factors influencing the onset and course of psychoticdisorders. The current paper delineates the objectives, sample characteristics, recruitment and assessment procedures of the Genetic Risk and Outcome of Psychoses (GROUP) study.|A naturalistic longitudinal cohort study with assessments at baseline, after three and six years of follow-up. The study is conducted by a consortium of four university psychiatric centres, with their affiliated mental health care institutions in the Netherlands covering more than 7.5 million inhabitants. Extensive assessment of genetic factors, environmental factors, (endo)phenotypes, and outcome.|At baseline, 1120 patients, 1057 siblings, 919 parents and 590 healthy controls were included.|The GROUP study will contribute to insight in risk and
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.